(a) On and after January 1, 1956, each , Q&A on Pregnant Womens Coverage Under Medicaid and , A Complete Guide to Health Insurance Coverage for Older , 7.15 Unit Test: Social And Sexual Health Part 1, Kentuckiana Center For Addiction Medicine. Under a SIMPLE plan, which of the following is TRUE regarding taxation on both contributions and earnings? Which of the following statements regarding Business Overhead Expense policies is NOT true? Group = Polnt9, MeanRankOJ3.92CC4.22PP3.71GF1.72BC1.55\begin{matrix} \text{ } & \text{Mean Rank}\\ \text{OJ} & \text{3.92}\\ \text{CC} & \text{4.22}\\ \text{PP} & \text{3.71}\\ \text{GF} & \text{1.72}\\ \text{BC} & \text{1.55}\\ \end{matrix} To be eligible to enroll in health coverage through the Marketplace, you: Must live in the United States. SPSS printouts of the analysis for both scales are shown below. Journalize its transactions that should be recorded in the general journal. Recall that subjects taste-tested five food/beverage items: black coffee (BC), cheesecake (CC), grapefruit juice (GF), orange juice (OJ), and pepperoni (PP). C Be licensed as an accident and health insurance producer. premiums are tax deductible and benefits are not taxed, A noncontributory group disability income plan has a 30 day waiting period and offers benefits of $2000 a month. Two weeks later she finds out that she is 3 months pregnant. If, from Jan. 1, 2014, through June 30, 2014, the employer has been offering coverage to its employees under the rules applicable to years before 2014, then the employer may claim the credit for premiums paid on behalf of each employee enrolled in coverage for the entire 2014 taxable year at up to the 50% rate (up to 35% for tax-exempt . CBob. BNotify the employer within 10 days C30 days they may be subject to taxation if the premium was paid by the employer. The insurer deducts the unpaid premium amount from the claim amount and pays the insured the difference. DCollateral assignment is given to the viatical settlement company. Will my parents plan cover my baby after hes born? There is nothing stopping her from acquiring coverage on her own through a marketplace. https://api.centene.com/EOC/2022/72001KY002.pdf, Alternative medicine may not be covered by a health insurance plan. When an insurer offers services like preadmission testing, second opinions regarding surgery, and preventative care, which term would best apply? If you have Medicare coverage, you're not eligible to use the Marketplace to buy a health or dental plan. The Affordable Care Act (ACA) gives people choices for health insurance and expands healthcare rights. If that same . DAny time. The marketplace helps you find health coverage that fits your budget and meets your needs. So your employer should allow you to refuse coverage for a dependent or drop a dependent from the plan. The ACA provided Medicaid for people with incomes up to 138% of the poverty level (with exchange subsidies picking up where Medicaid ends), but the Supreme Court ruled that states could opt out of Medicaid expansion, and there are still 12 states mostly in the southeastern US that have not expanded Medicaid. D15, Which of the following is NOT a metal level of coverage offered under the Patient Protection and Affordable Care Act? BWithin 15 working days Assisters should help pregnant consumers understand the coverage options available to them and their families through the Marketplace, Medicaid, and the Children's Health Insurance Program (CHIP). But things got significantly better in January 2014 when all new policies had to be fully ACA-compliant. Which of the following is true about coverage for pregnancy? Losing other coverage qualifies you for a Special Enrollment Period. If you keep your Marketplace coverage, be sure to update the application after you give birth to add the baby to the plan or enroll them in coverage through Medicaid or CHIP, if they qualify. DAll of the above. AComparisons with similar policies Following hospitalization because of an accident, Bill was confined in a skilled nursing facility. And it would also create an independent pathway through which women would be able to obtain zero-cost contraception even if theyre enrolled in a health plan that has an exemption from the contraceptive coverage mandate and has not utilized the existing accommodation process (which was made optional by the Trump administration). Two weeks later she finds out that she is 3 months pregnant. An insured with a life insurance policy is diagnosed with a terminal illness. CEmotional disorders. For more, https://www.dol.gov/sites/dolgov/files/ebsa/about-ebsa/our-activities/resource-center/publications/compliance-assistance-guide.pdf. Which of the following are generally NOT considered when underwriting group insurance? Two weeks later she finds out that she is 3 months pregnant. AReciprocal association. (In most states, expectant fathers were also denied coverage, due to laws that require health insurance companies to automatically cover a members newborn child. Q&A on Pregnant Womens Coverage Under Medicaid and the ACA, Part B Medical Insurance. AIndividual tax deduction for premiums paid. For plan years beginning on or after August 1, 2012, all non-grandfathered policies were required to provide coverage for eight women-specific categories of preventive care. But in most states, gender discrimination was still the norm until 2014. To mitigate against the risk of having to cover a newborn with complications, most individual market insurers rejected applications from expectant parents, including both mothers and fathers.). a. Going through the Marketplace may also mean . Health Insurance Marketplaces furnish Form 1095-A to: . Which of the following is an eligibility requirement for all Social Security Disability Income benefits? But although things are far better than they were just a few years ago, there have been some legal challenges that eroded some of the newfound access to contraceptive coverage. A 60 year old participant in a 401(k) plan takes a distribution and rolls it over to an IRA within 60 days. Access - Your ability to receive medical care which can be affected by certain factors. An employee quits his job on May 15 and doesn't convert his Group Life policy to an individual policy for 2 weeks. Which of the following terms is used to describe a person, other than a viator, that enters into or effectuates a viatical settlement contract? If you've been denied Medicaid or Children's Health Insurance Program (CHIP) coverage, you may be able to buy a health plan through the Health Insurance Marketplace. CAbsolute assignment is given to the viatical settlement company. Which of the following individuals will be eligible for coverage on the Health Insurance Marketplace? And in all but five states, being pregnant was a pre-existing condition that prevented a woman from purchasing individual health insurance at all. CNotify the insurer immediately and provide proof of insurability You can apply 2 ways: Directly through your state agency, or by filling out a Marketplace application and selecting that you want help paying for coverage. During replacement of life insurance, a replacing insurer must do which of the following? An insurer invests the money it receives from premiums paid by its insureds. Describe verbally the transformations that can be used to obtain the graph of ggg from the graph of fff, g(x)=2x2;f(x)=2xg(x)=2^{x-2} ; f(x)=2^x The insured is hospitalized and sustains a $2500 bill. Medicaid and CHIP provide free or low-cost health coverage to millions of Americans, including some low-income people, families and children, and pregnant women. A woman obtains a health coverage through the Marketplace on October 1. [2] There's a lot to consider when going through a divorce or legal separation. AThe owner is getting a divorce https://www.investopedia.com/is-health-insurance-mandatory-4773106, Have questions about the Affordable Care Act (ACA)? allowing his one-year term policy to expire. AGrandfathered and nongrandfathered The womens preventive care mandate that went into effect in 2012 requires health insurance policies to cover All Food and Drug Administration-approved contraceptive methods, sterilization procedures, and patient education and counseling for all women with reproductive capacity. (Note that the ACA does not specify which preventive services would have to be covered in full; it was left to HHS to sort out the details, so the contraceptive mandate stems from ACA implementation regulations, rather than the text of the ACA itself.). If we decide to carry 10 units of safety stock for the item described in questions 8 and 9, and we implemented this by going to our supplier when we had 10 units left, how much inventory would you expect to have on average now? DPregnancy will not be covered as a pre-existing condition. Assistance is available in many languages. DBe cancelled due to the age of the insured. Depending on where and when you applied, you may qualify for: nn Marketplace health plans nn Help with the costs of monthly premiums nn A Special Enrollment Period that lets . Which of the following. BGold Here are some common health insurance terms to help you better understand your plan or even choose a new one. A woman obtains health coverage through the Marketplace on Oct1. g(x)=2x2;f(x)=2x. Two weeks later she finds out that she is 3 months pregnant. AIron Beginning in 2010, ACA consumer protections, particularly coverage for preventive care screenings with no cost-sharing and a ban on plan benefit limits, improved the quality of health insurance for women. Which of the following is NOT a factor in determining qualifications for Social Security disability benefits? All of the following are true regarding the Indiana Comprehensive Health Insurance Plan EXCEPT, the insured can be charged a premium of up to 100% of the average standard premium charged by the state's top 5 insurers. How must a replacing producer respond to an applicant wishing to replace existing life insurance? Tags: breast cancer, contraception, health insurance women, Hobby Lobby, maternity, Medicare, Medicare Advantage, Obamacare, preventive benefits, womens health insurance. Must be a U.S. citizen or national (or be lawfully present). The ACAs health insurance reforms remain unavailable to women for whom health insurance itself is out of reach. Form 1095-A is used to report certain information to the IRS about individuals who enroll in a qualified health plan through the Marketplace. Which of the following is, https://www.chegg.com/flashcards/ch-9-other-health-insurance-concepts-89239f89-6ab6-4236-8da1-c3e7bba6a907/deck. Contact the Arkansas Insurance Department's Consumer Services Division's at 501-371-2640, 800-852-5494 or at insurance.consumers@arkansas.gov. Which of the following provisions is mandatory for health insurance policies? AThe producer must request the permission of the existing insurer. Which of the following employees insured under a group life plan would be allowed to convert to individual insurance of the same coverage once the plan is terminated? ALimit coverage for the treatment of Alzheimer's disease. Maternity coverage is now included on all new major medical plans. Which of the following is correct regarding the taxation of group medial expense premiums and benefits? The Marketplace application will help assess whether a consumer may be eligible for Medicaid coverage based on their disability. If you already have Marketplace coverage when your baby is born, you can: No matter when your child is born, you should report their birth to the Marketplace by updating your application as soon as possible. APolicy replacement Which of the following could be a suitable option for this insured? The Patient Protection and Affordable Care Act includes all of the following provisions EXCEPT Currently, 26 states and the District of Columbia permit coverage of abortion among their marketplace plans . No changes occurred during 2018 in the investment portfolio. Why? ALender. A viatical settlement is arranged between a viatical company and a/an Building on the success of the current 2021 special enrollment period in response to the COVID-19 Public Health Emergency, and acknowledging that the COVID-19 public health . Life Insurance and Health Rules Pertinent to, Chapter 13: Texas Statutes and Rules Pertinen, Accumulatedunrealizedholdinggainsandlosses, Donald E. Kieso, Jerry J. Weygandt, Terry D. Warfield, Fundamentals of Financial Management, Concise Edition, After selecting five companies, examine their income statements to search for the following items: Which option is being utilized when the insurer accumulates dividends at interest and then uses the accumulated dividends, plus interest, and the policy cash value to pay the policy up early? &\$1,200,000\\ A permanent resident lawfully present in the U.S. A 3 Which of the following is true regarding benefits paid to disable employees? An organization that operates on a lodge system and provides a formal life insurance plan to its members is classified as a A Woman Obtains Health Coverage Through The Marketplace, Ch. All qualified health plans meet the Affordable Care Act requirement for having health coverage, known as minimum essential coverage.. Which of the following is TRUE about credit life insurance? A) the procedures for filing a claim B) the length of coverage C) the cost the company is paying for monthly premiums D) the policy benefits and exclusions C The patient protection and affordable care act mandates that insurers provide coverage for adult children of the insured up to the age of A) 19 B) 21 C) 26 D) 30 C Which of the following riders would NOT increase the premium for a policyowner? BPregnancy will be covered immediately. All of the following are requirements of eligibility for Social Security disability income benefits EXCEPT, Viatical contracts require a free-look period of, 30 days from the date of contract execution, or 15 days from the receipt of the first check, According to the Life Insurance Replacement Regulation, Rule 16.1, replacement of life insurance is defined as a process in which, a new policy is bought and an old policy is converted to a Reduced Paid-up policy. BBe cancelled due to the deterioration of the insured's mental health. After a serious car accident, one of the partners was deceased and the other became totally disabled. Prior to ACA implementation, some states had taken action to mitigate gender inequality in health insurance. Or you can visit the Web and search the SEC EDGAR database, which includes the financial reports of most well-known companies. D To allow the consumer to compare the costs of different policies, To which of the following would the rule prohibiting a viatical settlement contract within 5 years of a policy issue date apply? Individual tax deduction for premiums paid, The Patient Protection and Affordable Care Act includes all of the following provisions EXCEPT, What is the maximum age for qualifying for a catastrophic plan>, The Affordable Care Act requires all U.S citizens and legal residents to have qualifying health care coverage. Factors that impact access include your location and the kind of providers/facilities in your area. 7500 Security Boulevard, Baltimore, MD 21244. Which of the following is true about a defined benefit plan? Which of the following is true about the coverage for pregnancy? 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